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ii. "Total compensation" means the cash and noncash dollar value earned <br />by the executive during the recipient's or subrecipient's preceding fiscal <br />year and includes the following (for more information see 17 CFR <br />229.402(c)(2)): <br />• Salary and bonus. <br />• Awards of stock, stock options, and stock appreciation rights. Use the <br />dollar amount recognized for financial statement reporting purposes with <br />respect to the fiscal year in accordance with the Statement of Financial <br />Accounting Standards No. 123 (Revised 2004) (FAS 123R), Shared Based <br />Payments. <br />■ Earnings for services under non -equity incentive plans. This does not <br />include group life, health, hospitalization or medical reimbursement plans <br />that do not discriminate in favor of executives, and are available generally <br />to all salaried employees. <br />■ Change in pension value. This is the change in present value of defined <br />benefit and actuarial pension plans. <br />■ Above - market earnings on deferred compensation which is not tax - <br />qualified. <br />■ Other compensation, if the aggregate value of all such other <br />compensation (e.g., severance, termination payments, value of life <br />insurance paid on behalf of the employee, perquisites or property) for the <br />executive exceeds $10,000. <br />61. Understands that failure to comply with any of the above assurances may result in <br />suspension, termination, or reduction of grant funds. <br />The undersigned represents that he /she is authorized by the above named applicant to enter into this <br />agreement for and on behalf of the said applicant. <br />Signature of Authorized Agent: ' <br />Printed Name of Authorized Agent: <br />Title: ��'�(�d/� �d?Z'Gt Date: 1 1247-1 <br />40 <br />